Diabetic Retinopathy Lecture and Diabetic Retinopathy Treatment | Diabetic Eye Exam

In this video, you’ll learn about the different stages of diabetic retinopathy, what your doctor may see during the exam, and the possible treatments. Be sure to SUBSCRIBE to Doctor Eye Health for the best tips and education about the eyes and vision products.

PRO -TIP The Diabetes Control and Complications Trial (DCCT) showed that strict control of blood sugar with insulin (In type 1 diabetes) decreases the progression of diabetic retinopathy, as well as nephropathy and neuropathy.

-So the better a diabetic’s blood sugar is controlled, whether that is with diet, exercise, and/or medication, the less chance of developing diabetic eye disease and other systemic complications.

time Jump
0:57 Intro to Diabetes
2:10 What is Diabetes; Type 1 and Type 2
2:53 How Diabetes affects the eyes
3:28 Review of Ocular Anatomy
4:48 Stages of Retinopathy
5:35 Mild Nonproliferative Diabetic Retinopathy
6:48 Moderate Nonproliferative Diabetic Retinopathy
8:12 Severe Nonproliferative Diabetic Retinopathy
9:26 Proliferative Diabetic Retinopathy
10:17 Diabetic Macular Edema
12:07 Cataracts, Glaucoma, Hyperopic Shift
13:33 Importance of Dilation
14:22 Treatment
16:24 Follow up or how often to be seen
17:28 How to Prevent Retinopathy and DCCT Study Findings
18:26 Thank You

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Attribution
Retinal photos from the RetinaGallery
Mayo Clinic Jacksonville, Florida
James L. Perron, C.R.A.

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About This Video:
In this video Joseph J. Allen, O.D discusses how diabetes affects the eyes and why a dilated eye exam is needed. If you are researching how diabetes can hurt the eyes, check out this video. The subject of diabetes can be very complex and many people don’t understand how uncontrolled blood sugars can hurt the eyes. In this video, you’ll learn about the different stages of diabetic retinopathy, what your doctor may see during the exam, and the possible treatments. #Doctoreyehealth #diabetes #diabeticretinopathy

[cadcass]

I'm a type one diabetic of 31 years old, I've been diagnosed for 28 years now and my blood sugars have been well controlled all my life apart from a few years when I was a teen. I recently had a retinal detachment due to the condition. I just had diabetic vitrectomy surgery yesterday. My advice to everyone is to get your eyes checked frequently, no matter what even if your blood sugars are well controlled. The idea of going blind at 31 is terrifying and I'm hoping this surgery will help but please dont wait to the point where I did.

[peggylittledragon]

This happened to me and I’ve had surgeries in both eyes, my blood sugar is well under control and now I can see so much better!

[zakirrahman]

A fourth-year medical student covering on his ophthalmology block-your videos are absolute gold. Thankyou!!

[kidharris]

good to know. I learned more about my diabetes from this video than I have from my VA docs in the 2 years since they diagnosed me as pre-diabetic

[BetterWithImprov]

Following up. I had my diabetic eye exam and boy was I more informed! I showed her your channel. You might have another subscriber. My real point here is that you are doing good work for the community and I appreciate you.

[LuisAntonioPerez]

I had been looking for weeks for a video like this. My partner had an eye exam for diabetic retinopathy a few weeks ago. I wish I had seen this video before and would have been able to ask more questions. I’m feeling much more informed now thanks to this video!

[clairewood]

I am an ophthalmic nurse practitioner in the UK and your videos have helped in my education so much. Thank you so much

[noobstertontropolisburgpoi]

Hey Doc. I went to an eye doctor once and the most amazing thing I've ever seen was seeing the inside of my eyes! That was so trippy, I'll never get over it. Ever!

[Noeness]

Great video! My grandma lost sight in one of her eyes due to diabetes. She wasn't aware she was diabetic. Thank you for the information!

[SuV]

That's how it happened for me. My eye doctor was the first to diagnose my type 1 diabetes. My vision was suddenly more sure Here I am 31 yrs later still trying to do better with my blood sugar control.

[geraldl]

Thanks for this super important talk about this terrible disease.yer the best dr A👍 ive been seeing a diabetic opthalmologist every 6months for the past 10yrs.NO retinal changes due to good care of my diabetes.

[johnifly]

Thanks SO MUCH for sharing this, as I've got type II diabetes. I've got it under control using metformin and have regular eye exams. So far things look GREAT! Thanks also for explaining diabetic retinopathy. I heard it mentioned but never knew what it meant! Thanks again! <3

[VioletStorm]

I am starting a job in an ophthalmologist office, and your videos are helping me understand so much! They are very informative yet easy to follow. I feel smarter by the end without getting lost. Please make more and thank you for taking the time to make these.

[Wayne]

I just discovered your channel by accident on review of Night Vision glasses, and I have fallen into a wormhole of mostly all your topics. This one hits close to home, and I am Diabetic, and will arrange my visit with my Opthamologist soon to go over the Eye issues i may be devolving. Thank you Dr.

[anneleendousselaere]

Thank you for this clear and informative video. The visual materials you showed were so insightful! I'm dealing with my diabetic retinopathy since 2 years now, and my ophtalmologist advised me to be careful with radically trying to drop my HBA1C. Due to a shock effect like that, it could backfire and actually worsen the edema.

[jeannewagner]

I am Type II, very controlled sugars in the mid 5 range. I had no diabetic retinopathy as we were checking to be safe.. I have quit sugar, I have quit wheat and gluten. I have quit those nasty inflammatory seed oils. For 5 years I have stuck to natural foods, very low carb. That has to be protective. Last year had chemo, and my sugars went so high. My PC added a secondary medication to help keep them lower but it seems the chemo did a lot of damage. Even months after it was over the sugars stayed higher than before and my A1c increased to 6.2 but now back to 5.6. After another retinopathy eye check after chemo the doctor said I now have diabetic retinopathy, the early stage and he wanted to start needle treatment immediately to keep it under control. I was very upset and had a lot of questions. First off I'm terrified of the needles... I might flinch or jerk out of fear or some kind or knee jerk reaction... that could damage my eye even further. But I had a question of whether the treatment itself would also damage my eye. He wouldn't answer, had a very set look on his face, and turned his back to me and said 'we'll see you in 3 months." I'm thinking of finding another doctor who will answer my questions without making me feel bad. And also who might have a little bit of compassion. Are there even any natural practices that one can do to help? I will do it if I have to, but really I will need a sedative. Just thinking about needles coming towards my eyes makes my blood pressure rise.

[nankarl]

As always, an excellent video, thank you. I've been diabetic (type 2) for 17 years and have had my annual diabetic eye screenings every year, which are very thorough and always include a machine that takes photos of the back of my eye. I recently had cataract removal in both eyes. My vision was absolutely perfect afterwards. Then, this past week, four weeks after surgery, I leaned over and felt a flash in my eye followed by what looked like a reddish floater right in the center of my vision in that eye. My doc got me in early the next morning and it looks like I had a microvascular bleed from diabetes and my vision is currently impaired in that eye. I am heartbroken, as my vision was so wonderful a week ago. From what I've read, it is possible that in a few months the vision may improve. The doc said it was not a retinal bleed nor did it appear to be a posterior vitreous detachment, but referred me to a retina specialist this upcoming week. My diabetes is considered to be well controlled, with an a1c of 6.3. Guess it's time to be even more vigilant. Thanks again for a wonderfully educational video. I am a subscriber and I always enjoy your presentations.

[Erick-ABC]

Thank you doctor you described that perfectly and calm, my anxiety was thru the roof not knowing what was happening to my vision changes especially after a few scares and vision exam at a local eye specialist care center revealed nothing to them . I will follow up with my hospital to see a specialist to get a diabetic eye exam

[JoannaLamont]

Thank you for this video. I’ve learnt so much from you. You explain the conditions so well & my favourite part of this video was your section on treatment for the condition which gave me reassurance. Thank you again Joe.

[Butterflybleu]

This is the best explanation I’ve heard about diabetes affecting the eyes. Thank you!